Economic evaluation of a web-based menu planning intervention to improve childcare service adherence with dietary guidelines. Article Swipe
Penny Reeves
,
Kim Edmunds
,
Zoë Szewczyk
,
Alice Grady
,
Sze Lin Yoong
,
Luke Wolfenden
,
Rebecca Wyse
,
Megan Finch‐Edmondson
,
Fiona Stacey
,
John Wiggers
,
Andrew Searles
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-37439/v2
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-37439/v2
Background Despite the known benefits of healthy eating in childhood, few Australian childcare services provide food that is consistent with dietary guidelines. The effectiveness of a web-based menu planning intervention to increase childcare service provision of healthy foods and decrease provision of discretionary foods in long day-care services in Australia was assessed in a randomised controlled trial. Here we consider the costs, consequences, cost-effectiveness and budget impact of the intervention using data collected within the trial. Methods The prospective trial-based economic evaluation involved 54 childcare services across New South Wales (NSW), Australia. Services were randomised to a 12-month intervention or usual care. The intervention involved access to a web-based menu planning and decision support tool, and online resources. Effectiveness measures included: mean number of food groups, overall menu and individual food group compliance with dietary guidelines, and mean servings of food groups at 12 months. Costs (reported in $AUD, 2017/18) were evaluated from both health sector and societal perspectives. The direct cost to support uptake of the intervention was calculated, as were costs to each childcare service. The incremental cost of the intervention was calculated as the net difference in the cost to undertake menu planning and review plus the direct cost of the intervention. Incremental cost–effectiveness ratios (ICERs) including uncertainty intervals, were estimated for differences in costs and effects between intervention and control groups. A relative value index was calculated to determine overall value for money. Results Over the 12 months of the trial, we calculated a difference in cost between usual practice and intervention groups of -$482 (95% UI -$859, -$56). While the measured increase in menu and food group compliance within the trial did not reach statistical significance, there were significant improvements in mean servings of fruit and discretionary food, represented in the cost-consequence analysis. The calculated relative value index of 1.1 suggests that the intervention returns acceptable value for money for the outcomes generated. Conclusion Compared to usual practice, web-based programs may offer an efficient and sustainable alternative for childcare services to improve the provision of healthy foods to children in their care. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12616000974404
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-37439/v2
- https://www.researchsquare.com/article/rs-37439/v2.pdf?c=1605136892000
- OA Status
- green
- Cited By
- 1
- References
- 42
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4285583654
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4285583654Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-37439/v2Digital Object Identifier
- Title
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Economic evaluation of a web-based menu planning intervention to improve childcare service adherence with dietary guidelines.Work title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-11-11Full publication date if available
- Authors
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Penny Reeves, Kim Edmunds, Zoë Szewczyk, Alice Grady, Sze Lin Yoong, Luke Wolfenden, Rebecca Wyse, Megan Finch‐Edmondson, Fiona Stacey, John Wiggers, Andrew SearlesList of authors in order
- Landing page
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https://doi.org/10.21203/rs.3.rs-37439/v2Publisher landing page
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https://www.researchsquare.com/article/rs-37439/v2.pdf?c=1605136892000Direct link to full text PDF
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://www.researchsquare.com/article/rs-37439/v2.pdf?c=1605136892000Direct OA link when available
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Intervention (counseling), Service (business), Business, Nursing, Medicine, MarketingTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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